<!DOCTYPE html>
<html>

<head>
    <title>申请报价</title>
    <%- include('/unit/layout/header.html')%>
</head>

<body class="page-header-fixed">
    <%- include('/unit/layout/top.html')%>
        <div class="page-container row-fluid">
            <%- include('/unit/layout/sidebar.html')%>
                <!-- BEGIN PAGE -->
                <div class="page-content">
                    <div class="container-fluid">
                        <div class="row-fluid">
                            <div class="span12">
                                <h3 class="page-title">申请报价</h3>
                                <ul class="breadcrumb">
                                    <li>
                                        <i class="icon-home"></i> 投标申请
                                        <i class="icon-angle-right"></i>
                                    </li>
                                    <li>申请报价</li>
                                </ul>
                            </div>
                        </div>
                        <!-- END PAGE HEADER-->
                        <div class="portlet box blue">
                            <div class="portlet-title">
                                <div class="caption"><i class="icon-reorder"></i>申请报价</div>
                            </div>
                            <div class="portlet-body form">
                                <!-- BEGIN FORM-->
                                <form action="#" class="form-horizontal J_add-user-form">
                                    <h3 class="form-section">申请信息</h3>
                                    <div class="row-fluid">
                                        <div class="span6 ">
                                            <div class="control-group">
                                                <label class="control-label">供应商联系人:</label>
                                                <div class="controls">
                                                    <input name="splrCtct" type="text" class="m-wrap span12 J_splrCtct" placeholder="">
                                                </div>
                                            </div>
                                        </div>
                                        <!--/span-->
                                    </div>
                                    <div class="row-fluid">
                                        <div class="span6 ">
                                            <div class="control-group">
                                                <label class="control-label">联系人电话：</label>
                                                <div class="controls">
                                                    <input type="text" name="splrCtctTel" class="m-wrap span12 J_splrCtctTel" placeholder="">
                                                </div>
                                            </div>
                                        </div>
                                    </div>
                                    <!--/row-->
                                    <div class="row-fluid">
                                        <div class="span6 ">
                                            <div class="control-group">
                                                <label class="control-label">供应商名称：</label>
                                                <div class="controls">
                                                    <input type="text" class="m-wrap span12  J_splrNam" name="splrNam" placeholder="">
                                                </div>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row-fluid">
                                        <div class="span6 ">
                                            <div class="control-group">
                                                <label class="control-label">保证金状态：</label>
                                                <div class="controls">
                                                    <select name="dpstSts" id="dpstSts" class="J_dpstSts">
                                                        <option value="0">未缴纳</option>
                                                        <option value="1">已缴纳</option>
                                                    </select>
                                                </div>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row-fluid">
                                        <div class="span9 ">
                                            <div class="control-group">
                                                <label class="control-label">保证金图片：<em>*</em></label>
                                                <div class="controls">
                                                    <input name="chrmIcon" type="file" class="J_chrmIcon">
                                                    <input type="button btn" value="上传文件" class="J_imgUpload btn purple">
                                                </div>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="row-fluid">
                                        <div class="span6 ">
                                            <div class="control-group">
                                                <label class="control-label">备注：</label>
                                                <div class="controls">
                                                    <textarea class="J_memo m-wrap span12 large" rows="5" cols="10"></textarea>
                                                </div>
                                            </div>
                                        </div>
                                    </div>
                                    <div class="form-actions">
                                        <button type="submit" class="btn blue J_submit"><i class="icon-ok"></i>提交</button>
                                        <button type="button" class="btn J_cancel">取消</button>
                                    </div>
                                </form>
                            </div>
                        </div>
                    </div>
                </div>
        </div>
        <%- include('/unit/layout/footer.html')%>
            <%- include('/unit/layout/js.html')%>
                <script src="../../../unit/common/js/bootstrap_js/jquery.validate.min.js" type="text/javascript"></script>
                <script>
                jQuery(document).ready(function() {

                    App.init();

                });
                </script>
</body>

</html>